DA Rozhdestvensky, AA Stafeev, SI Soloviev, VS Mheyan and AS Rozhdestvensky*
Neurology DPO Department, Omsk State Medical University, Omsk, Russia
*Corresponding Author: AS Rozhdestvensky, Head of the Neurology DPO Department, Omsk State Medical University, Omsk, Russia.
Received: July 06, 2021; Published:July 20, 2021
Introduction: Temporomandibular joint dysfunction (TMJ) is the second most common disease of the musculoskeletal system, affecting up to 33% of people during their lifetime. Being the main cause of neodontogenic pain in the orofacial region, TMJ pathology requires the use of a preclinical examination. The multifactorial nature of the disease actualizes the study of the early symptoms of developing functional disorders. The TMJ algorithm should be applied already in the dentist's office, which will avoid unpredictable results of dental rehabilitation and attract other specialists to the complex therapy of the patient in time. There is a need for a more accurate understanding of the mutual influence of the structural imbalance of the body and the dental system, determining the primary disorder, which will help to develop a prevention system, as well as influence the sequence, volume and nature of the treatment.
Aim of the Study: The aim of the study is to identify the relationship between structural imbalances of the body and TMJ dysfunction.
Materials and Methods: A prospective study was conducted on 85 volunteers from University students at the Department of Orthopedic Dentistry of Omsk State Medical University from February to March 2020. During the processing of the clinical material, 7 people were eliminated in accordance with the exclusion criteria. All the subjects were assessed the state of the maxillary system, primarily the TMJ (using the short Hamburg test), and structural imbalances of the body (using the Notch Interfaces Inc. motion capture and reconstruction system). The presence and strength of the linear relationship of the phenomena was determined using the Pearson coefficient.
Results: According to the results of the Hamburg test, the functional norm was detected in only 12.5% of the surveyed, the majority of volunteers (85.9%) had TMJ dysfunction or a high risk of its development. Structural imbalances of the body were detected in 78.2% of cases. There is a highly significant positive relationship between functional TMJ disorders and pelvic hyperflexia (p = 0.70, p < 0.05). A positive weak association was observed between the risk of developing TMJ dysfunction (2 points according to the Hamburg test) with pelvic hyperflexia (p = 0.29, p < 0.05) and forward tilt of the head and neck (more than 5°) (p = 0.24, p < 0.05).
Conclusion: The study showed a strong positive relationship between pelvic hyperflexia and signs of TMJ dysfunction, a positive relationship between functional TMJ disorders and slopes of different parts of the spine. The potential reversibility of the detected disorders and the need for their timely detection and correction. This study is a pilot and will be continued in a broader format.
Keywords: Temporomandibular Joint Dysfunction; Interdisciplinary Approach; Motion Capture Technology
Citation: AS Rozhdestvensky., et al. “Assessment of Structural Body Imbalances in Patients with Temporomandibular Joint Dysfunction".Acta Scientific Orthopaedics 4.8 (2021): 26-30.
Copyright: © 2021 AS Rozhdestvensky., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.